The relation between chondromalacia patella and meniscal tear and the sulcus angle/trochlear depth ratio as a powerful predictor

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dc.authoridZateri, Coskun/0000-0002-7948-5383
dc.contributor.authorResorlu, Hatice
dc.contributor.authorZateri, Coskun
dc.contributor.authorNusran, Gurdal
dc.contributor.authorGoksel, Ferdi
dc.contributor.authorAylanc, Nilufer
dc.date.accessioned2025-01-27T20:49:57Z
dc.date.available2025-01-27T20:49:57Z
dc.date.issued2017
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractPURPOSE: To investigate the relation between chondromalacia patella and the sulcus angle/trochlear depth ratio as a marker of trochlear morphology. In addition, we also planned to show the relationship between meniscus damage, subcutaneous adipose tissue thickness as a marker of obesity, patellar tilt angle and chondromalacia patella. METHODS: Patients with trauma, rheumatologic disease, a history of knee surgery and patellar variations such as patella alba and patella baja were excluded. Magnetic resonance images of the knees of 200 patients were evaluated. Trochlear morphology from standardized levels, patellar tilt angle, lateral/medial facet ratio, subcutaneous adipose tissue thickness from 3 locations and meniscus injury were assessed by two specialist radiologists. RESULTS: Retropatellar cartilage was normal in 108 patients (54%) at radiological evaluation, while chondromalacia patella was determined in 92 (46%) cases. Trochlear sulcus angle and prepatellar subcutaneous adipose tissue thickness were significantly high in patients with chondromalacia patella, while trochlear depth and lateral patellar tilt angle were low. The trochlear sulcus angle/trochlear depth ratio was also high in chondromalacia patella and was identified as an independent risk factor at regression analysis. Additionally, medial meniscal tear was observed in 35 patients (38%) in the chondromalacia patella group and in 27 patients (25%) in the normal group, the difference being statistically significant (P - 0.033). CONCLUSIONS: An increased trochlear sulcus angle/trochlear depth ratio is a significant predictor of chondromalacia patella. Medial meniscus injury is more prevalent in patients with chondromalacia patella in association with impairment in knee biomechanics and the degenerative process.
dc.identifier.doi10.3233/BMR-160536
dc.identifier.endpage608
dc.identifier.issn1053-8127
dc.identifier.issn1878-6324
dc.identifier.issue3
dc.identifier.pmid27911285
dc.identifier.scopus2-s2.0-85018895090
dc.identifier.scopusqualityQ2
dc.identifier.startpage603
dc.identifier.urihttps://doi.org/10.3233/BMR-160536
dc.identifier.urihttps://hdl.handle.net/20.500.12428/25366
dc.identifier.volume30
dc.identifier.wosWOS:000401000000025
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherIos Press
dc.relation.ispartofJournal of Back and Musculoskeletal Rehabilitation
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectChondromalacia patella
dc.subjectmeniscal tear
dc.subjecttrochlear morphology
dc.titleThe relation between chondromalacia patella and meniscal tear and the sulcus angle/trochlear depth ratio as a powerful predictor
dc.typeArticle

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